Dr. Bernard Glos
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
3033 Ogden Ave Legacy Clinical Consultants Suite 210
Lisle
, Illinois 60532-1673
Dr. Bernard Glos
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
3033 Ogden Ave Legacy Clinical Consultants Suite 210
Lisle
, Illinois 60532-1673
(603) 963-5699
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Bernard Glos
- 5703 S Cass Ave Apt 213
- Westmont, IL
- Zip : 60559-3283
- Phone : (603) 963-5699
Second Address
- Dr. Bernard Glos
- 3033 Ogden Ave Legacy Clinical Consultants Suite 210
- Lisle, IL
- Zip : 60532-1673
- Phone : (630) 527-1664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103G00000X | Clinical Psychologist | 071-003497 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071-003497 | IL |
National Provider Identifier
| NPI | 1275686784 |
|---|---|
| Provider Name | Dr. Bernard Glos |
| First Address | Westmont, IL 60559-3283 |
| Second Address | Lisle, IL 60532-1673 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2007 |
| Last Update Date | 02/02/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.